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20050430.pdfa V (0"4 IDATE RECEIVED S" - CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEiNAME OF BUSINESS MAILING ADDRESS CITY ZIP TELEPHONE NAME ADDR ADDRESS 41 CITY ZIP TELEPHONE 7 STATE LICENSE NUMBER EXPIRATION DATE CHECKE 114, If 7 _/� - /, J— iel- Cj _j PROPERTY TAX ACCOUNT PARCEL NO. /_ 5­6 NEW RESIDENTIAL PLUMBING i MECH ADDITION COMMERCIAL COMPLIANCE OR F OF USE MIXED USE CHANGE ]��rREMODEL MULTIFAMILY SIGN REPAIR GRADING CYDS FENCE EJ ( DEMOLISH TANK OTHER GARAGE RETAINING WALL FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM (TYPE OF USE, BUSINESS OR ACTIVITY) E PLAIN. G/'m VVL" or NUMBER NUMBER OF OF DWEL , LINGA, STORIES UNITS . DESCRIBE WORK TO BE DONE k1 I e­ f-', / -% '. I _'Z_ � HEAT 'OUR LOTSLOPE% 6 -s- PLAN CHECK NO: VESTED DATE PERMIT NUMBER to;> JOB ADDRESS PLAT NAME�SUBDIVISION NO PERMIT EXPIRES now� 5- __0 4i� LOT NO PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING PROPOSED REQUIRED DEDICATION FT METER SIZE I LINE SIZE NO. OF FIXTURES SUITEIAPT9 LID NO LID FEE S T ESCP Approved [3 RW Permil Required Select Use Permit Required Inspection Required 13 Sidewalk Required 13 Underground C3 Wamn rpawfed 13 PRV REQUIRED YES 13 NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE ENGINEERING REVIEWED BY DATE FIRE REVIEWED BY GAS INPE TEST MUST BE DATE VARIANCE OR CU A SEPA COMPLETED EXEMPT NO I 0 z R UJI Lu z 0 z Lu ul 0: rZ CA# ZOqDr. Lli ARLA HEIGHT WAIVER 13 OWED PROPOSED 7 ALLOWED PROPOSE13 1 STUDY 13 I , LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR z z z PARKING I LOTAREA I PLANNING REVIEWED BY DATE 5 REQ'D , PROVIDED IL FT.) I REMARKS THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5) PERMIT LIMIT: SEE ECDC 19.00.005(A)(6) SEE BACK OF PINK PERMIT FOR MORE INFORMATION *APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITY's ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND ST TE LAWS REGULATING CONSTRUC- TION: AND IN DOING THE WORK AUTHORIZED THE Y. NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOf3,.CGDL-OF THE V PATEE OF WASHINGTON RELATING TO WORKMEN'S COMPENSAIW,?_�ANCE ANVCW 18:27. DATE SIGNED SPECIAL INSPECTION REQUIRED 13YES REMARKS GEOTECH REPORT BY: STRUCTURAL DESIGN BY: VALUATION Description Plan Check Building Permit Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Fire Inspection Landscapelnsp. Recordina Fee CALL FOR INSPECTION (425) 771-0220 OCCUPANT LOAD FEE Description FEE State Surcharge City Surcharge Base Fee C6 Plan Chk. Deposit Receipt # Total Amt. Due Receipt # APPLICATION APPROVAL' This application is not a permit until signed by the Building official or his/hor Deputy and Fees are paid, and receipt is acknowledged in space provided I N it FIC AL SIG Al NRE DATE I L7-VSED B DATE ATTENTI�M tA L I j1jj IT IS UNLAWf UL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL/fNSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI- FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC1109 / IBC110 / IRC110. 10104 PRESS HARD - YOU ARE MAKING 4 COPIES ORIGINAL - FILE YELLOW - INSPECTOR PINK -OWNER GOLD - ASSESSOR a z z 0 4 0 M -n 0 M C M 0 0 C) 0 C M M Z 0­1 C 0 -n n ­11 x M M 0 _Cn 0 r- 0 M C Q 0 Z 7`1 X --i X z z 0 i 0 M ll RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS I . . .................... FOUNDATION: Footing ...................... Wall.......................... Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground ....... Rough -In ................... Commercial Final ...... HEATING: GasTest .................... Gas Piping ................. Equipment................. Commercial Final ....... EXTERIOR SHEATHING NAILING.......................... FRAMING ........................ FIRST FLOOR FRAMING... INSULATION ................... Floor Insulation ......... Wall Insulation ........... Ceiling Insulation ....... SHEETROCK NAILING ... SPECIAL INSPECTION ... MISCELLANEOUS .......... FINAL APPROVAL FOR 0 7 OCCUPANCY .................. z 0 1 0 M -4 -n 0 M C M 0 0 __10 0 C M M z > z 0 -n -n MITI 0 0 0 IT! C CD 9 CD M Z 3: > z --I M Cn z 0 M